CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,894
Cash Discount Price: $2,632
vs. Medicare Baseline: 17.73x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Southwest Healthcare Rancho Springs Hospital is $1,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,632. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.73x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$2,632

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,894

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,632 (2464%)

Insurance Median: $1,894 (1773%)

Cash: $2,632 (2464% of Medicare)

Ins. Median: $1,894 (1773% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1773% of the Medicare baseline (a markup of 1673%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health_Net	$94 - $3,122	88%
United_Healthcare	$129 - $178	121%
Kaiser	$134 - $2,711	125%
Heritage	$140 - $3,495	131%
Iehp	$166	155%
Blue Cross Blue Shield	$367 - $3,094	344%
Aetna	$1,049	982%
Cigna	$1,447 - $3,277	1355%
Primecare	$1,606 - $3,639	1504%
Palomar	$1,894 - $4,291	1773%
Rady_Children'S_Hospital	$2,821 - $6,390	2641%
Multiplan	$3,627 - $8,216	3396%
Sharp_Health_Plan	$3,627 - $8,216	3396%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,632.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southwest Healthcare Rancho Springs Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.